Individual provider Active NPI

Subhash C Proothi, MD

  • Hematology & Oncology Physician
  • Fountain Hill, PA
National Provider Identifier
1376537621
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD022180E Issued in PA
Practice address
701 Ostrum St
Ste 403
Fountain Hill, PA 18015-1155
Phone
(610) 867-3115
Fax
(610) 867-6991
NPI assigned
Sep 1, 2005
Last updated
Apr 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD022180E PA Primary

Addresses

Primary practice location

701 Ostrum St
Ste 403
Fountain Hill, PA 18015-1155

Mailing address

701 Ostrum St
Ste 403
Fountain Hill, PA 18015-1155
Phone (610) 867-3115

Other identifiers 1

IdentifierTypeStateIssuer
0006772140001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101029000652 PA Practitioner - Medical OncologyPractitioner - Hematology/Oncology 6901965623 Reassigns benefits to 1 organization
I20181102000671 NJ Practitioner - Hematology/Oncology 6901965623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

240 Cetronia Rd
Allentown, PA 18104-9263

240 Cetronia Rd 205
St Luke's Weight Management Center
Allentown, PA 18104-9263
Phone (484) 426-2600

240 Cetronia Rd 210a
St Lukes Neurology Associates
Allentown, PA 18104-9263
Phone (484) 426-2626

250 S 21St St
Easton, PA 18042-3851

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

701 Ostrum St
Fountain Hill, PA 18015-1152

701 Ostrum St
Fountain Hill, PA 18015-1153

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC Hematology & Oncology Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 12, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 1, 2011 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 12, 2018 Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

240 Cetronia Rd
Ste 225
Allentown, PA 18104
Phone (610) 821-2845

451 Chew St
Allentown, PA 18102
Phone (610) 799-7100

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067

701 Ostrum St
Ste 302
Fountain Hill, PA 18015
Phone (484) 526-6000

701 Ostrum St
Ste 403
Fountain Hill, PA 18015
Phone (484) 503-7000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1376537621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 403",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "610-867-3115",
            "fax_number": "610-867-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "STE 403",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "610-867-3115",
            "fax_number": "610-867-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROOTHI",
        "first_name": "SUBHASH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD022180E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006772140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.